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Illinois rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.38 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.38 / $1.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.88 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.40 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.69